NPI | 1942627559 |
---|---|
Former Legal Business Name | WEST CLINIC, PC |
Entity Type | Organization |
Authorized Contact | JOHN M GRAVES CEO 901-683-0055 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology |
Enumeration Date | 2014-03-20 |
Last Update Date | 2021-12-14 |